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[Intrahepatic cholestasis due to biochemical errors of bile acids. II. Clinical and therapeutic aspects].
[benign recurrent intrahepatic cholestasis]
Within
the
"
primary
"
cholestasis
we
can
discriminate
"
essential
"
forms
due
to
an
endogenous
biochemical
error
of
bile
acid
metabolism
and
/
or
secretion
and
"
conditioned
"
forms
,
in
which
a
known
precipitating
factor
is
required
to
elicit
the
functional
disorder
responsible
for
cholestasis
.
Among
the
essential
forms
of
cholestasis
must
be
included
benign
recurrent
intrahepatic
cholestasis
or
Summerskill-
Walshe
disease
,
Aagenaes
disease
,
progressive
familial
intrahepatic
cholestasis
or
Byler
's
disease
,
and
forms
due
to
disorders
of
the
peroxisomes
.
Benign
recurrent
intrahepatic
cholestasis
,
the
best
known
form
,
is
characterized
by
recurrent
episodes
of
itching
and
jaundice
with
an
acute
onset
separated
by
symptom-free
intervals
,
which
shows
no
tendency
to
progress
to
liver
failure
.
The
conditioned
cholestasis
group
comprises
cholestasis
of
pregnancy
and
drug-induced
cholestasis
.
Benign
recurrent
cholestasis
of
pregnancy
is
a
form
induced
"
by
"
pregnancy
and
not
a
form
occurring
"
in
"
pregnancy
,
such
as
cholestasis
due
to
hepatitis
,
to
primary
biliary
cirrhosis
,
to
cholelithiasis
.
Drug-induced
cholestasis
is
a
chapter
of
great
clinical
relevance
:
forms
due
to
steroid
hormones
and
due
to
phenothiazines
are
discussed
.
Diseases
Validation
Diseases presenting
"liver failure"
symptom
benign recurrent intrahepatic cholestasis
congenital diaphragmatic hernia
erythropoietic protoporphyria
heparin-induced thrombocytopenia
homocystinuria without methylmalonic aciduria
legionellosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
neonatal adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated